基于处方点评的中成药临床合理用药关键要素探讨  

Exploration of the Key Factors for Clinical Rational Use of Chinese Patent Medicine Based on Prescription Evaluation

作　　者：王宇光[1] 李红燕[1] 孔祥文[1] 

机构地区：[1]北京中医药大学第三附属医院药学部,北京100029

出　　处：《中国药房》2014年第11期970-972,共3页China Pharmacy

基　　金：北京市药学会2013年临床药学研究项目

摘　　要：目的:探讨中成药临床合理使用的关键要素。方法:参考《处方点评管理办法》,回顾性随机抽取某院2013年1-6月门诊中成药处方870张,开展处方点评,并分析合理用药关键要素。结果:不合格处方共171张,超剂量或超疗程用药、疹断与用药不符、药品不合理配伍、重复给药为不合理用药的四大主要因素,恰当剂量和理论指导是合理用药的关键要素。结论:以门诊一线处方为基础开展处方点评,分析中成药合理用药要素,可为深入研究中成药临床合理使用提供参考。OBJECTIVE： To explore key points of clinical rational use of Chinese patent medicine. METHODS： Referring to Prescription Evaluation Management, 870 out-patient prescriptions of Chinese patent medicine were randomly collected from a hos- pital during Jan.-Jun. 2013. Those prescriptions were evaluated to analyze the key points of rational drug use. RESULTS： There were 171 unqualified prescriptions. Top four reasons of irrational drug use were overdose/ultra-drug treatment, discrepancies of drug to symptoms, improper compatibility and repeated administration. Suitable dose and theoretic guidance played the most crucial roles. CONCLUSIONS： The study analyze the key points of clinical rational drug use based on outpatient prescriptions and provide scientific foundation for further study on the rational use of Chinese patent medicine.

关 键 词：中成药 处方点评 临床合理用药 要素 

分 类 号：R969[医药卫生—药理学] R28[医药卫生—药学]